Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). 3 DEPT is the most used triage system in Denmark and is similar to other modern triage system. Record Verification: October 2020 : Overall Status: Recruiting: Study Start: October 1, 2020 : Primary Completion: February 1, 2022 [Anticipated] Study Completion: March 1, 2022 [Anticipated]. Public health-care services in Denmark are free for the entire population due to the omnipresent tax-funded welfare system, including well-established primary care, public pre-hospital. Ranges of vital signs for paediatric patients are identical in the two triage systems, and the triage score is represented by colours: green for ‘not urgent’, yellow for ‘less. Process: DNPR, The Danish Clinical Register of Emergency Surgery: Hospital contact in admission units: 8: Time to triage: Proportion of patients triaged within 30 minutes after arrival: Process: DNPR, regional clinical logistics systems: 9a: Time to physician: Proportion of patients seen by physician within 4 hours after arrival: ProcessThe aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Background. In addition, the same nurse registered the patient. e. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). I DEPT tager man afsæt i anerkendte internationale triage-modeller, der er modificeret til danske forhold. Ranges of vital signs for paediatric patients are identical in the two triage systems, and the triage score is represented by colours: green for ‘not urgent’, yellow for ‘less. In Sweden, METTS subsequently became the Rapid Emergency Tri-In our patients, perhaps surprisingly, ongoing pain was thus a marker for better prognosis. Eligible patients were all adult acute patients (≥18 years) arriving to the ED within the study period. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) , and METTS in Norway . The objectives were as follows: (a) What is the agreement of triage between prehospital providers and ED nurses, when using Danish Emergency Process Triage (DEPT) correctly? (b) Which part of the triage process yields the highest agreement regarding the final triage?METHODS: The study was a prospective and observational efficacy study. Centers are randomly assigned to perform either CTA or. Most EDs had a trigger call for MEP (89. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40%. 23 The highest triage level is received care in trauma room and not expected to be discharged within 24 hours. e. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40% (n = 8) used non-validated. I have Thomas ∗ with observations of urinary infection. Prior studies have assessed the congruence between nurse's assessment of their patients' pain intensity and the patients' own pain perception with mixed results. Hide glossary Glossary. The. The phlebotomists were instructed to lookReceiver Operating Characteristic (ROC) and Precision Recall Curves for First Score Predictions. 20-21 November 2014 Background Prior to introduction of systematic triage, patients were prioritized in Emergency Departments based on clinical assessment. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs , patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported, resulting in a patient receiving a higher triage priority than warranted or, alternatively, that a patient might be overlooked in the ED. The frequency of young people presenting to general wards and emergency departments for self-harm has increased in the past 20 years (Borschmann & Kinner, 2019). Triage is the variable defining a maximum time limit for medical assessment, and the Danish Emergency Process Triage system 23, 24, 25 (Table 1) is the priority tool used to triage patients. The clinical implications of the findings presented in this study are that emergency physicians should strive to achieve as precise a diagnosis as possible. 45. Triage system developed in Denmark. In addition, the same nurse registered the patient. Triage algorithms are used worldwide to risk assess and prioritize patients in the Emergency Departments. Method. RESULTS. e. Open table in a new tab Triage is the variable defining a maximum time limit for medical assessment, and the Danish Emergency Process Triage system. For details on the DEPT triage system see Additional file 1. Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs and presenting symptoms and a locally adapted version of DEPT (VITAL-TRIAGE) using vital signs only. Triage standard North Zealand University Hospital introduced the use of formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. Search for termsIn the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain Rating scale, NRS-11. triage system used was a Danish adaptation of the Swedish triage system, ADAPT. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the. 1Adaptive process triage (ADAPT) is a triage system developed in Sweden in 2006. Triage of patients in the Emergency Department includes scoring of vital parameters. Et dansk triagesystem har akronymet DEPT for Danish Emergency Process Triage ". Notably, settling on the most appropriate diagnosis between. Methods: The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). A severity of disease classification system for use in intensive care units; AUC: Area Under the Curve; DEPT: Danish emergency process triage. Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Menu. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Further research has shown that morbidity can be predicted with computerized algorithms based on both clinical markers and physicians’ DSR even in ED patients with nonspecific complaints [ 8 ]. Furthermore, a review from 2010 questioned the scientific evidence for both triage as a method as well as the Swedish five level triage scale Medical Emergency Triage and Treatment System (METTS. Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency departmentTo svenske modeller Rapid Emergency Triage and Treatment System og Adaptive Process Triage (ADAPT) er sidenhen blevet udviklet [4]. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. The Danish emergency medical services in general include ambulances, rapid response vehicles, mobile emergency care units and helicopter emergency medical. non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Background. 20-21 November 2014 Background Prior to introduction of systematic triage, patients were prioritized in Emergency Departments based on clinical assessment. e. 000) admitted to the ED in two large acute hospitals. These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. Study record managers: refer to the Data Element Definitions if submitting registration or results information. A former study three years ago in our department showed variations in the triage evaluation between nurses with a kappa value at 0. 3 DEPT is the most used triage system in Denmark and is similar to other modern triage system. The chief complaint assigned by the triaging nurse was used as exposure, and 30-day mortality and 30-day readmission were the primary outcomes. Trained nurses perform triage before beginning diagnostics and before the patient is seen by a physician. Most Danish hospitals use the Danish Emergency Process Triage (DEPT) [17, 18]. 3 DEPT is the most used triage system in Denmark and is similar to other modern triage system. Triage systems were used in 75% of Danish EDs. poster at the Danish Emergency Medicine Conference, Odense, Denmark, 20-21 November. et nationalt tilgængeligt triageværktøj, der henvender sig til alle afdelinger med akut modtagefunktion. Patients could only participate once but if a nurse. Scand J Trauma Resusc Emerg Med Page 3 of 10 Norway [15]. The chief complaint assigned by the. Moreover, several studies have demonstrated that combing suPAR with the NEWS or the Danish Emergency Process Triage (DEPT) improved its predictive ability for mortality (Rasmussen et al. We found that triage was used at 75%. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). Material and methods: We performed a cross-sectional study on triage at all EDs in the 20 Danish hospitals that have been designated for emergency care. RETTS-A was not developed to be utilised as a sys-The investigators has developed a novel evidence-based triage algorithm with integrated individual clinical assesment. The lowest triage level is received care for minor cut or concern by either a nurse or a physician with no examinations. The aim is to identify patient at risk of deterioration or death and/or with a imminent need of treatment. Prior to introduction of systematic triage, patients were prioritized in Emergency Departments based on clinical assessment. as used in Danish Emergency Process Triage, and a multiple-parameter system, T-EWS, which weBackground: Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting symptoms. We found that triage was. The triage system used was a Danish adaptation of the Swedish triage system, ADAPT. Soluble urokinase plasminogen activator receptor (suPAR) is a prognostic and nonspecific biomarker associated with short-term mortality in emergency department (ED) patients. The models have then beenThese Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. Systematic process triage is a relatively unknown concept in Denmark. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). The capacity of the ED depends on available resources (i. We used the vital signs from DEPT triage, consisting of respiratory frequency, pulse, saturation, temperature, blood pressure, and Glasgow coma scale (GCS) to triage the patients into. All emergency departments in Central Denmark Region use the tool Danish Emergency Process Triage system (DEPT). . Ann Emerg Med. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs [9], patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported. Prior to introduction of systematic triage, patients were prioritized in Emergency Departments based on clinical assessment. Validation of systematic triage is sparse and in this study we compared the systematic triage tool Danish Emergency Process Triage (DEPT) with a quick clinical assessment by inexperienced hospital staff. The triage system ranks patients into five colour-coded triage categories. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs and presenting symptoms and a locally adapted version of. Triage was done using the Danish Emergency Process Triage (DEPT). Participants. The capacity of the ED depends on available resources (i. They were included at first contact within the study. Patients with minor injuries were excluded. The objective of this study was to compare two such triage systems for assessing vital parameters - a single-parameter system, T-vital, as used in Danish Emergency Process Triage, and a multiple. Region Midt har i tillæg udarbejdet procesafsnit til de enkelte kontaktårsagskort. In 2011 HAPT was customized for local conditions and named Danish Emergency Process Triage (DEPT) . All patient. compared the accuracy of triage decisions by nurses who adhered to the Danish Emergency Process Triage (DEPT) scale with a non-systematic ‘eyeball triage’ performed by phlebotomists and medical students working as phlebotomists from the Department of Clinical Biochemistry. Search life-sciences literature (42,383,260 articles, preprints and more) Search. Systematic process triage is a relatively unknown concept in Denmark. This is in contrast to the guidelines in some ED triage systems (e. Ranges of vital signs for paediatric patients are identical in the two triage systems, and the triage score is represented by colours: green for ‘not urgent’, yellow for ‘less. We would like to show you a description here but the site won’t allow us. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs and presenting symptoms and a locally adapted version of DEPT (VITAL-TRIAGE) using vital signs only. The nurses used an established algorithm known as the Danish Emergency Process Triage, or DEPT for short, to decide which patients were the sickest; the phlebotomists and medical students made. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs andPatients were triaged as usual according to the Danish Emergency Process Triage (DEPT) , which is an adaption of the Swedish triage model ADAPT. Through 4 years, nurses in our department have trained and used a 5-level national recommended triage model. (OPUS Arbejdsplads, CSC) and merged with triage data. Most ED’s use a slightly modified ver-sion of ADAPT called Danish Emergency Process Triage (DEPT) [11–14]. The CTA Study is a randomized trial comparing CTA to the standard Danish Emergency Process Triage (DEPT) in an unselected population. g. Most respondents received simulation training (82. Methods: The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). 16 in the Emergency Medicine Journal. The Copenhagen Triage Algorithm study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency. Patient triaged at the highest and lowest triage level as per the Danish Emergency Process Triage were excluded. The chief complaint assigned by the triaging nurse was used as exposure, and 30-day Triage is the process of quickly assessing and prioritising patients according to urgency and need for treatment []. Der findes andre systemer til triagering : . These Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. dette materiale med kontaktårsager fra Danish Emergency Process Triage (DEPT), som er et triageringsredskab tilpasset danske forhold efter de svenske triageringsredskaber ADAPT og METTS. About Europe PMC; Preprints in Europe PMCWe performed a cross-sectional study on triage at all EDs in the 20 Danish hospitals that have been designated for emergency care. Process: DNPR, The Danish Clinical Register of Emergency Surgery: Hospital contact in admission units: 8: Time to triage: Proportion of patients triaged within 30 minutes after arrival: Process: DNPR, regional clinical logistics systems: 9a: Time to physician: Proportion of patients seen by physician within 4 hours after arrival: ProcessDanish emergency process triage (DEPT). 4 Lindberg Søren Østergaard, Lerche la Cour J, Folkestad L, Hallas P, Brabrand M. g. DEPT is a five-step triage system that prioritizes patients according to the degree of life or truancy threat and thereby is indicative of how fast they are to be seen by a physician. A Danish ED is equivalent to an acute. In 70. [11, 12]. This study was designed as a single-centre, non-inferiority, open-label, randomized controlled trial. The chief complaint was registered during triage according to the Hillerød Acute Process Triage protocol and categorized into 41 presenting complaints. The need to prioritize these patients is stressed by the considerable demand for emergency care, frequent ED overcrowding and limited resources. b The severity score is made according to the Danish Emergency Process Triage (DEPT) criteria used for patients with acute illness. 23. Table 1 shows the five-level Danish Emergency Proces Triage (DEPT) used in the ED, patients are categorised into five triage levels based on vital signs and a presenting complaint algorithm . Data from 3 different dataMethods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). patient, di erent HCPs are involved, and discharge planning. Patients triaged blue were not. Each patient is assigned a triage levelThe objective of this study was to compare two such triage systems for assessing vital parameters - a single-parameter system, T-vital, as used in Danish Emergency Process Triage, and a multiple. Triage standard North Zealand University Hospital introduced the use of formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. In our patients, perhaps surprisingly, ongoing pain was thus a marker for better prognosis. Method. Studies of the Danish emergency process triage (DEPT), the Canadian triage and acuity scale (CTAS), and the emergency severity index (ESI) have reported only moderate agreement between EMS clinicians and ED nurses when utilising identical triage systems [13,14,15]. 6% of the EDs, trigger calls for MEP were activated > 300 times annually. Patients with minor injuries were excluded. Formalized triage in the emergency department (ED) is not widely used in Denmark; this study explores the effects of introducing a five-level process triage system in a Danish ED. The use of triage in Danish emergency departments. When do you expect to come to the ED?”Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). plores the effects of introducing a five-level process triage system in a Danish ED. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). Europe PMC. Validation of systematic triage is sparse and in this study we compared the systematic triage tool Danish Emergency Process Triage (DEPT) with a quick clinical assessment by inexperienced hospital staff as markers of short-term mortality. Oct 17, 2018, 10:59 pm. In Denmark triage has been broadly implemented over the last decade [11]. Akutmodtagelsen har siden december sidste år anvendt det evidensbaserede triagesystem I-DEPT (Individuel Danish Emergency Process Triage). Most ED’s use a slightly modified ver-sion of ADAPT called Danish Emergency Process Triage (DEPT) [11–14]. g. BackgroundCrowding in the emergency department (ED) is a well-known problem resulting in an increased risk of adverse outcomes. In most emergency departments (ED) around the world, patients are initially assessed using a triage system or risk stratification tools. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). Validation of systematic triage is sparse and in this study we compared the systematic triage tool DanishTriage category of the patient Relevant vital parameters of the patient: 6 months after course: Nurse:” This is Maria ∗ from the emergency department. The capacity of the ED depends on available resources (i. Triage standard North Zealand University Hospital introduced the use of formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. dk (13 Apr 2020). DEPT is a Danish adaption and modification of the “Adaptive Process Triage” (ADAPT) developed in Sweden in 2006 . The triage system ranks patients into five colour-coded triage categories. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40% (n = 8) used non-validated systems. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Therefore, the blood level of suPAR might be usable for identification of patients. Over the last 20 years, triage systems have been standardised in a number of countries and. In 2011 HAPT was customized for local conditions and named Danish Emergency Process Triage (DEPT) . Methods: This was a retrospective cohort using data from ve Danish emergency departments. Regarding patient’s safety this process however has to be seen critically as > 60% of these cases were potentially undertriaged. Triage and triage related work has been performed in Swedish Emergency Departments (EDs) since the mid-1990s. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs , patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported, resulting in a patient receiving a higher triage priority than warranted or, alternatively, that a patient might be overlooked in the ED. Each patient is provided a triage level on arrival which is estimated based on vital parameters such as saturation, blood pressure, pulse, temperature and alertness and indicates the urgency of the condition. based on symptoms per the Danish Emergency Process Triage [17] and collects clinical data. For details on the DEPT triage system see Additional file 1 . The triage system used was a Danish adaptation of the Swedish triage system, ADAPT. They were triaged by. Study record managers: refer to the Data Element Definitions if submitting registration or results information. " Der findes andre systemer til triagering : ATS – Australasian Triage Scale, risikofaktorer; CATS – Canadian, vitalparametre og symptoner The use of triage. Studies of the Danish emergency process triage (DEPT), the Canadian triage and acuity scale (CTAS), and the emergency severity index (ESI) have reported only moderate agreement between EMS clinicians and ED nurses when utilising identical triage systems [13– 15]. Most. However, the national implementation has been performed despite low scientific foundation for triage as a method, mainly related to the absence of adjustment to. People who self-harm are. His triage category is green. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. Danish Emergency Process Triage to determine treat-ment urgency (Nordberg et al. A version of RETTS©, called Rapid Emergency Triage and Treatment System – Hospital Unit West (RETTS-HEV) has also been applied and studied [21, 22]. The chief complaint assigned by the. About Europe PMC; Preprints in Europe PMCThe aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. , 2018. The five-level Danish triage manual resembles the Manchester triage manual [19, 20]. All patient visits to the ED. Background: Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting symptoms. Within the last ten years, the. Efficient triage should not only identify those patients that require urgent care, but also as many patients as possible who do not require it and who can be safely managed later or electively. Danish Emergency Process Triage (DEPT) har til formål at sikre en standardiseret og systematisk sundhedsfaglig risikovurdering af alle akutte patienter umiddelbart ved kontakt til sundhedsvæsenet. The formation and design of the TRIAGE study--baseline data on 6005 consecutive patients admitted to hospital from the emergency department. Clinical effectiveness and patient safety depends on standardization of the triage process. Included in the analysis were 6290 patients seen in the ED from September 2013 through December 2013, all of whom were evaluated using both a formalized triage process (the Danish Emergency. Patients with minor injuries were excluded. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Patients are initially triaged by an experienced nurse using the Danish Emergency Process Triage system (DEPT) [14]. An. All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. Ove GAARDBOE, Medical Director | Cited by 219 | | Read 9 publications | Contact Ove GAARDBOEThe aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Danish health. 27 The main complaint is registered before any diagnostic proceedings are performed. This system is the most widely used triage system in Denmark [ 19 , 20 ]. The chief complaint assigned by the triaging nurse was used as exposure, and 30-dayTherefore, we gathered in-depth knowledge of Danish emergency department nurses' experiences caring for patients who self-harm and obtained their suggestions on future nursing practices. Centers are randomly assigned to perform either. Triage standard North Zealand University Hospital introduced the use of formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage standard. Patients are initially triaged by an experienced nurse using the Danish Emergency Process Triage system (DEPT) [14]. This was a substudy of patients included in the Copenhagen Triage Algorithm (CTA) trial, which was described elsewhere [2, 6]. Each patient is assigned a triage. 18-19 April 2013. DEPT is a Danish adaption and modification of the “Adaptive Process Triage” (ADAPT) developed in Sweden in 2006 [ 20 ]. Background. Patient triaged at the highest and lowest triage level as per the Danish Emergency Process Triage were excluded. Validation of systematic triage is sparse and in this study we compared the systematic triage tool Danish Emergency Process Triage (DEPT) with a quick clinical assessment by inexperienced hospital staff as markers of. “red”, being the most acute) . without a Danish Central Person Registry number. Multiple logistic regression was used to predict the primary endpoint, 30-day mortality. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. The models have then beenFrom 6th Danish Emergency Medicine Conference Odense, Denmark. The Copenhagen Triage Algorithm (CTA) is a simplified triage system with a clinical assessment. Rapid Emergency Triage and. In Denmark triage has been broadly implemented over the last decade [11] . The chief complaint assigned by the. The five-level Danish triage manual resembles the Manchester triage manual [19, 20]. In 70. level yellow (needing urgent treatment) was the most common triage category in patients admitted to the ED at a. A multi-centre cohort study | Introduction: In the Region of Southern Denmark, the emergency departments categorise patients based on presenting symptoms and a proposed diagnostic package (n = 40. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital signs andThese Swedish triage scales spread to adjacent countries; a modified Danish version of ADAPT, Danish Emergency Process Triage (DEPT) [12], and METTS in Norway [13]. Five-level triage systems are being utilized in Danish emergency departments with and without the use of presenting symptoms. Patients could only participate once but if a nurse participated more than once he/she was included as a new nurse each time, as the aim of the study was to investigate the agreement of DOW-rating in the patient-nurse dyad. We found that triage was used at 75% (n = 15) of the EDs; among these only 53% (n = 8/15) triaged all patients. A structured approach to patient assessment. All EDs used red triage (Danish Emergency Process Triage) as activation criteria for MEP calls. Furthermore, a new, simplified triage algorithm. Validation of systematic triage is sparse and in this study we compared the systematic triage tool DanishTriage category of the patient Relevant vital parameters of the patient: 6 months after course: Nurse:” This is Maria ∗ from the emergency department. The vitals measured at admission assigns the patient to a triage category, and based upon the clinical appearance of the patients, the triage nurse can adjust the assigned triage category to better reflect the patient. Europe PMC. The Copenhagen Triage Algorithm study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). In most emergency departments (ED) around the world, patients are initially assessed using a triage system or risk stratification tools. In Denmark, all healthcare services, including emergency medical services are publicly funded and free of charge. To combat this, most ED's use some form of triage. Hide glossary Glossary. An early warning score and an alcohol-withdrawal score were likewise measured regularly in accordance with both local recommendations and. 5%). All patients triaged with one chief complaint using the Danish Emergency Process Triage system were included. [Google Scholar] 28. The purpose has been to identify critically ill patients and thereby reduce the waiting time for initial assessment and treatment. Currently there are no national recommendations regarding triage models for use in the emergency department (ED). . 16 They reported that what they referred to as ‘eyeball triage’, that is, clinicians’ triage decisions in our study, was superior to formalised triage using the Danish Emergency Process Triage. Prior studies have assessed the congruence between nurse's assessment of their patients' pain intensity and the patients' own pain perception with mixed results. Præhospital triage Hjertestop og Respirationsstop Traumekaldskriterier(RH) Traumekaldskriterier(RM+ RN) Blåt kort Vitalparametre Risikopatient Op- eller nedtriagering Abstinenssymptomer Allergiske symptomer Anorektale symptomer Besvimelse Bevidsthedspåvirkning Bid og stik Blodsukker, afvigelser Blodtryk, højt Table 1 shows the five-level Danish Emergency Proces Triage (DEPT) used in the ED, patients are categorised into five triage levels based on vital signs and a presenting complaint algorithm . , RETTS and the Danish Emergency Process Triage), which prioritize patients with ongoing pain higher than those with abated pain (6, 7). formalised triage in 2009 and since 2011 Danish Emergency Process Triage (DEPT)3 has been the triage. THURSDAY, Oct. 15 December 2021. Patients with minor injuries were excluded. Multiple logistic regression was used to predict the primary endpoint, 30-day mortality. København: Sundhedsstyrelsen, 2014:1-70. According to two national surveys from 2005 to. In Sweden, METTS subsequently became the Rapid Emergency Triage and Treatment System (RETTS©) [ 14 ], as well as in Norway [ 15 ]. HAPT is inspired by the Swedish Adaptive Process Triage model, ADAPT , and has subsequently evolved into the 'Danish Emergency Process Triage' , which is currently under implementation at several hospitals across the country. This is in contrast to the guidelines in some ED triage systems (e. Statistics. Testing and evaluation is therefore needed. The chief complaint. 4% of the cases, and older patients were triaged at the scene as an 'unspecific condition' more frequently than younger patients. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs [9], patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported. TRIAGE III is an interventional trial in Den-mark where suPAR is used to improve DEPT (Danish Emergency Process Triage) used by the ED physicians. All patient visits to the ED from September 2013 to December 2013 except minor. 18, 2018 (HealthDay News) -- A simple clinical assessment seems to be superior to the formalized Danish Emergency Process Triage (DEPT) system for predicting mortality in patients presenting to the emergency department, according to a study published online Oct. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. This system is the most widely used triage system in Denmark [19, 20]. However, ADAPT have been triage standard in a modified version called Danish Emergency Process Triage (DEPT) in Denmark since 2011 . Most respondents received simulation training (82. N2 - Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). It is based on triage using vital signs (airway. Adaptive process triage (ADAPT) was the most frequently used validated triage system (25% (n = 5)), while 40%. The Copenhagen Triage Algorithm (CTA) aims to be a faster and better way to identify acutely ill patients as well as the less urgent patients in the ED. HAPT is inspired by the Swedish Adaptive Process Triage model, ADAPT , and has subsequently evolved into the 'Danish Emergency Process Triage' , which is currently under implementation at several hospitals across the country. ". Objective: To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). Each year 800 000 people die by suicide worldwide, and for each suicide, there are over 20 attempts (World Health Organization, 2020). THURSDAY, Oct. In addition to emergency calls, other medical services are available for less. konnten allerdings bereits zeigen, dass die Verwendung einer „Blickeinschätzung“ in Kombination mit der Befragung zur Hauptbeschwerde einer 5‑stufigen Einschätzungsskala (Danish Emergency Process Triage, DEPT) zumindest in Bezug auf die Vorhersage der 48 h-Mortalität überlegen sein kann und von dessen. The ED used Danish Emergency Process Triage (DEPT) for triaging patients on a five-point ordinal scale (1–5, 1, i. The TRIAGE database has been completed and includes data and blood samples from 6005 unselected consecutive hospitalized patients and a higher triage acuity level was associated with numerous events, including acute surgery, endovascular intervention, i. The objective of this study was to compare two such triage systems for assessing vital parameters - a single-parameter system, T-vital, as used in Danish Emergency Process Triage, and a multiple-parameter system, T-EWS, which we based on Early Warning Score (EWS) - and correlate the triage scores to in. In Sweden, METTS subsequently became the Rapid Emergency Tri-In our patients, perhaps surprisingly, ongoing pain was thus a marker for better prognosis. In the Danish Emergency Process Triage (DEPT), which has been implemented in most Danish EDs , patient-reported pain is validated by a nurse to ensure that it is neither over nor underreported, resulting in a patient receiving a higher triage priority than warranted or, alternatively, that a patient might be overlooked in the ED. During the trajectory of the. 16 in the Emergency Medicine Journal. et nationalt tilgængeligt triageværktøj, der henvender sig til alle afdelinger med akut modtagefunktion. Patient triaged at the highest and lowest triage level as per the Danish Emergency Process Triage were excluded. EWSs (National Early Warning Score 2 [NEWS2], modified NEWS score without temperature [mNEWS], Quick Sepsis Related Organ Failure Assessment [qSOFA], Rapid Emergency Triage and Treatment System [RETTS], and Danish Emergency Process Triage [DEPT]) were calculated using first vital signs measured by ambulance personnel. Furthermore, a new, simplified triage algorithm has been. Triage of patients in the Emergency Department includes scoring of vital parameters. The severity score is assessed by measuring the patients´ vital parameters (e. Studies of the Danish emergency process triage (DEPT), the Canadian triage and acuity scale (CTAS), and the emergency severity index (ESI) have reported only moderate agreement between EMS clinicians and ED nurses when utilising identical triage systems [13– 15]. Blood. Currently there are no national recommendations regarding triage models for use in the emergency department (ED). Methods: The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). The formation and design of the 'Acute Admission Database'- a database including a prospective, observational cohort of 6279 patients triaged in the emergency department in a larger Danish hospital. 4%). The study that most closely matched our research was recently published by Iversen et al. All patient visits to the ED. We include patients ≥16 years (n = 50. Triage-algoritmerne er også. A version of RETTS©, called Rapid Emergency Triage and Treatment System – Hospital Unit West (RETTS-HEV) has also been applied and studied [21, 22]. Danish emergency departments (EDs) handle approximately 1,000,000 patients annually [1]. The five-level Danish triage manual resembles the Manchester triage manual (19,20). Patients arriving at the ED are triaged using the Danish Emergency Process Triage (DEPT) system, which is based on chief complaint-specific parameters and vital parameters (see online supplemental figure 1 for an overview of the DEPT system process). The triage algorithms are also developed to identify patients at low risk, who safely can be assigned to the waiting room. Patients arriving at the ED are triaged using the Danish Emergency Process Triage (DEPT) system, which is based on chief complaint-specific parameters and vital parameters (see online supplemental figure 1 for an overview of the DEPT system process). Included in the analysis were 6290 patients seen in the ED from September 2013 through December 2013, all of whom were evaluated using both a formalized triage process (the Danish Emergency. We found that triage was used at 75% (n = 15) of the EDs; among these only 53% (n = 8/15) triaged all patients. The Copenhagen Triage Algorithm study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Patients with minor injuries were excluded. All patient visits to the. Kasper Karmark Iversen. This study aims to describe patients who died within 48 h of being admitted non-emergently to hospital by. When do you expect to come to the ED?”The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Necessary resources for diagnostics and treatment have to be available in the doctors’ offices and known to prehospital emergency services. 000) admitted to the ED in two large acute hospitals. A severity of disease classification system for use in intensive care units; AUC: Area Under the Curve; DEPT: Danish emergency process triage. Advanced searchIn the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain Rating scale, NRS-11. Odense, Denmark. Authors. Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients. In 2011 HAPT was customized for local conditions and named Danish Emergency Process Triage (DEPT) . EWSs (National Early Warning Score 2 [NEWS2], modified NEWS score without temperature [mNEWS], Quick Sepsis Related Organ Failure Assessment [qSOFA], Rapid Emergency Triage and Treatment System [RETTS], and Danish Emergency Process Triage [DEPT]) were calculated using first vital signs measured by ambulance personnel. In Sweden, METTS subsequently. Registry based follow-up study on patients receiving an ambulance from the Copenhagen EMS in 2018. 38) vs discharge from the emergency department to home. Prior studies have assessed the congruence betweenThe use of triage in Danish emergency departments. The. patients in level 1-5 triage DEPT is a 5-stage triage system with 5 degrees of urgency Structure: Overall, DEPT is made up of several elements. DEPT - Depth. Some databases focus specifically on the emergency care process [7-9], but none of. Results: The response rate was 100% (n = 20). The ideal triage process should be so simple it can be performed by anyone without the need for training, and require either no equipment, or equipment. Each patient is provided a triage level on arrival which is estimated based on vital parameters such as saturation, blood pressure, pulse, temperature and alertness and indicates the urgency of the condition. In the Danish Emergency Process Triage (DEPT) pain is used as an independent contributor for triaging patients and is validated by the Numerical Pain. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. Triage: Oversigt over triagesystem til fagfolk - Akutafdelingen. We include patients ≥16 years (n = 50. 18, 2018 (HealthDay News) -- A simple clinical assessment seems to be superior to the formalized Danish Emergency Process Triage (DEPT) system for predicting mortality in patients presenting to the emergency department, according to a study published online Oct. Materials and methods Consecutive patients. The aim of this study was to validate and compare two 5-level triage systems used in Danish emergency departments: “Danish Emergency Process Triage” (DEPT) based on a combination of vital. , dyspnoea) related to the patient’s chief complaint [12,14]. The scientific theory is based on. All emergency departments in Central Denmark Region use the tool Danish Emergency Process Triage system (DEPT). Danish Emergency Process Triage based on complaints and vital values. The nurses used an established algorithm known as the Danish Emergency Process Triage, or DEPT for short, to decide which patients were the sickest; the phlebotomists and medical students made. Et dansk triagesystem har akronymet DEPT for Danish Emergency Process Triage ". Methods The Copenhagen Triage Algorithm (CTA) study is a prospective two-center, cluster-randomized, cross-over, non-inferiority trial comparing CTA to the Danish Emergency Process Triage (DEPT). Triage was performed by nurses at 73% (n. 24 25 Participants Eligible patients were all adult acute patients (≥18 years) arriving to the ED within the study period. According to two national surveys from 2005 to 2011, triage was carried out with different triage scales and without guidelines or formal education. 6% of the EDs, trigger calls for MEP were activated > 300 times annually. 000 inhabitants. Advanced Searchc Triage score acc ording to the Danish Regions’ P aediatric Triage Model, and if this eld on the prehospital ePMR was empty, then according to the Danish Emergency Process T riage (DEPT)Danish Civil Registration System of all ED contacts from July 1, 2016 through June 30, 2017. Prior studies have assessed the congruence between nurse's assessment of their patients' pain intensity and the patients' own pain perception with mixed results. 6%). The triage categories are red, orange, yellow, green and blue. 2011 Oct;58(10):A4301. 20-21 November 2014. The severity score is assessed by measuring the patients´ vital parameters (e. An early warn-ing score and an alcohol-withdrawal score were likewise measured regularly in accordance with both local recommendations and the patient’s clinical con-dition. Akutmodtagelsen har siden december sidste år anvendt det evidensbaserede triagesystem I-DEPT (Individuel Danish Emergency Process Triage). Data from 3 different data.